Adjust Federal Medical Assistance Percentage Trigger for Medicaid Expansion.

HB 653 lowers the federal funding threshold that would trigger loss of Medicaid coverage for North Carolina's newly eligible expansion recipients. Currently, coverage would end if federal funding for this group drops below 90% compared to non-expansion recipients; the bill reduces this threshold to a lower percentage. If funding falls below the new threshold, Medicaid coverage for this group must discontinue promptly, with state agencies required to notify lawmakers and CMS. The bill affects only those added to Medicaid through the 2014 expansion, not all Medicaid beneficiaries.